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经直肠前列腺活检后的一种罕见的传染性并发症:脊髓瘤炎与相邻的肌肉腹
Luis Carlos1, Ronaldo Mayta2, Mijail Vega2
1Faculty of Medicine, Universidad Privada San Juan Bautista, Ica, PER.
Cureus
|March 2, 2026
概括
在前列腺活检后发生了一种罕见的由大肠杆菌引起的脊髓感染 (脊髓炎). 早期怀疑和MRI成像对诊断和治疗至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 放射学 放射学是一门学科.
背景情况:
- 脊柱炎是一种严重的脊髓感染,通常是由金黄色葡萄球菌引起的.
- 大肠杆菌是一种新兴的病原体,与泌尿生殖程序 (如跨直肠前列腺活检) 有关.
研究的目的:
- 在经直肠前列腺活检后报告一例大肠杆菌脊髓炎病例.
- 突出这一罕见并发症的诊断和管理挑战和策略.
主要方法:
- 在前列腺活检后发烧和背部疼痛的71岁男性的病例介绍.
- 诊断工作包括腰部磁共振成像 (MRI) 和计算机断层扫描 (CT) 引导的程序.
- 通过皮肤穿盘活检和排水培养物识别的传染病原体.
主要成果:
- 患者患有L4-L5脊椎瘤炎,并有副脊椎腹和皮质腹在活检后.
- 培养物证实大肠杆菌是致病原体.
- 调整的抗生素治疗和排水导致了有利的临床结果.
结论:
- 传染性脊髓瘤炎经过直肠前列腺活检后,虽然不常见,但需要高度临床怀疑 (发烧,背部疼痛).
- 磁力共振成像对于诊断至关重要,而图像引导的皮肤穿刺手术对于管理至关重要.
- 迅速识别病原体和针对性的抗生素治疗对于有利的结果至关重要.
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